Dr Salvador Miguel Simo, MD is a medicare enrolled "Pediatrics" physician in Lake Clarke Shores, Florida. His current practice location is
1497 Forest Hill Blvd Ste E, Lake Clarke Shores, Florida. You can reach out to his office (for appointments etc.) via phone at
(561) 433-5687.
Dr Salvador Miguel Simo is licensed to practice in Florida (license number 0044968) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962465054.
Physician's Profile
Full Name | Dr Salvador Miguel Simo |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1497 Forest Hill Blvd Ste E, Lake Clarke Shores, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962465054
- Provider Enumeration Date: 04/10/2006
- Last Update Date: 07/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 7810132529
- Enrollment ID: I20130401000193
Medical Identifiers
Medical identifiers for Dr Salvador Miguel Simo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962465054 | NPI | - | NPPES |
043524400 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0401X | Family Medicine - Addiction Medicine | 0044968 (Florida) | Secondary |
208000000X | Pediatrics | 0044968 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Salvador Miguel Simo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Salvador Miguel Simo, MD 12008 Southshore Blvd., Ste. 101, Wellington, FL 33414-8502 Ph: (561) 429-3812 | Dr Salvador Miguel Simo, MD 1497 Forest Hill Blvd Ste E, Lake Clarke Shores, FL 33406-6052 Ph: (561) 433-5687 |
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